Fox Valley Open Mri, Llc

LBN: Fox Valley Open Mri, Llc
Fox Valley Open Mri, Llc is an health care organization with primary practice located at 201 W Northland Ave , Appleton WI 54911-2039. The organization recently has only one registered license in Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI), which is considered as the primary health care specialty. Fox Valley Open Mri, Llc can be contacted via phone (920) 996-0724, or through Douglas, Michelle via phone (502) 403-1401.

Contact Information

Primary practice address
201 W Northland Ave Appleton WI 54911-2039
Phone: (920) 996-0724
Fax: (920) 996-0728
Website:
Map and Directions
Authorized official contact:
Name: Douglas, Michelle
Phone: (502) 403-1401

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) 261QM1200X

Profile Details

NPI number 1881697837
LBN Legal business name Fox Valley Open Mri, Llc
DBA Doing business as
Authorized official Douglas, Michelle
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2005
Last updated Jun 12th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881697837 NPPES
Wisconsin MEDICAID 32874400

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